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A clinician can check additional markers to confirm how your body uses B12

[DOI] [PMC free article] [PubMed] [Google Scholar] 29.Whitby JD

Before starting treatment, inform your doctor if you have heart, liver, kidney, or lung disease, sleep apnoea, diabetes, a history of blood clots, or high calcium levels

[2] Long-term follow-up: Once stable on maintenance therapy, routine blood monitoring is not usually necessary unless new symptoms develop

This direct route bypasses the digestive system entirely, which makes injections a particularly valuable choice for people with conditions like Crohns disease or celiac disease

Last but not least, Vitamin B12 plays a significant role in nerve function and the creation of red blood cells